Does weight stigma reduce working memory? Evidence of stereotype threat susceptibility in adults with obesity

Does weight stigma reduce working memory? Evidence of stereotype threat susceptibility in adults with obesity
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DOI:
10.1038/s41366-018-0121-2
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发表时间:
2018-08-01
影响因子:
4.9
通讯作者:
Tomasetto, Carlo
Tomasetto, Carlo
中科院分区:
医学2区
文献类型:
--
作者:
Guardabassi, Veronica;Tomasetto, Carlo

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肥胖是一种高度污名化的疾病,认知功能下降是肥胖个体的典型特征。在本研究中,我们验证了刻板印象威胁(即,在评估刻板印象相关能力时,由于害怕确认消极的自我相关刻板印象而导致的工作记忆资源耗竭)导致肥胖个体认知缺陷的假设。方法对社区131名成年人进行(a)工作记忆和(b)概率学习(一种与工作记忆无关的能力)的计算机测试。通过改变所谓的任务性质来操纵刻板印象威胁;这些任务被标记为智力测试(高刻板印象威胁条件)、记忆和学习测试(标准指令条件)或分散注意力游戏(低刻板印象威胁条件)。结果在高刻板印象威胁条件下(95% ci = -0.872, -0.175, p = 0.003)和标准指令条件下(95% ci = -0.974, -0.153, p = 0.007),身体质量指数(BMI)与工作记忆呈负相关,而在低刻板印象威胁条件下(95% ci = -0.266, 0.430, p = 0.643), BMI与工作记忆呈负相关。对概率学习没有影响。结论刻板印象威胁与肥胖个体的工作记忆受损有关。对研究人员和临床医生的影响进行了讨论。
Background Obesity is a highly stigmatizing condition, and reduced cognitive functioning is a stereotypical trait ascribed to individuals with obesity. In the present work, we tested the hypothesis that stereotype threat (i.e., a depletion of working memory resources due to the fear of confirming a negative self-relevant stereotype when a stereotype-related ability is assessed) contributes to cognitive deficits in individuals with obesity.Methods Computerized tests of (a) working memory and (b) probabilistic learning-an ability unrelated with working memory-were administered to a community sample of 131 adults. Stereotype threat was manipulated by altering the alleged nature of the tasks; the tasks were alternatively labeled as intelligence tests (high stereotype threat condition), memory and learning tests (standard instructions condition), or distraction games (low stereotype threat condition).Results A negative relation between body mass index (BMI) and working memory emerged in both the high stereotype threat (95% CIs = -0.872, -0.175, p = 0.003) and the standard instructions conditions (95% CIs = -0.974, -0.153, p = 0.007), but not in the low stereotype threat condition (95% CIs = -0.266, 0.430, p = 0.643). No effect emerged on probabilistic learning.Conclusion Stereotype threat is associated with impaired working memory of individuals with obesity. Implications for researchers and clinicians are discussed.